Chronic pelvic inflammatory disease with multiple myometrium abscesses: A case report and literature review

OBJECTIVE: To present a case of successful surgical treatment of uterine abscesses in a woman with chronic pelvic inflammatory disease. CASE REPORT: A 40-year-old nulliparous woman with chronic pelvic inflammatory disease and a history of laparoscopic myomectomy in 2017, transvaginal oocyte retrieval in May 2020 and laparotomy adenomyomectomy in September 2020, visited the hospital with persistent lower abdominal pain and vaginal discharge. Transvaginal ultrasound and computed tomography revealed several abscesses in the myometrium that were surgically removed through laparotomy and hysteroscopy, which led to a complete resolution of symptoms. CONCLUSIONS: The patient recovered well without experiencing any recurrent abscesses in the following six months after operation. This case highlights the complexities of managing uterine abscesses in patients with chronic pelvic inflammatory disease, who often require interdisciplinary treatments.